Organization
CARE TRANSITION PROGRAM BM, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YAMILET LOPEZ MBA (ADMINISTRATOR)
(787) 562-5168
Entity
Organization
Contact information
Practice address
1519 AVE PONCE DE LEON, SUITE 1219, SAN JUAN, PR 00909-1703
(787) 562-5168
(787) 722-2374
Mailing address
1519 AVE PONCE DE LEON, SUITE 1219, SAN JUAN, PR 00909-1703
(787) 562-5168
(787) 722-2374
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
322163
REGISTRO
PR
Enumeration date
02/23/2013
Last updated
02/23/2013
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